HomeMy WebLinkAbout0152266 - HVAC (furnace and AC) CD CITY OF OSHKOSH No 152266
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1415 WISCONSIN ST Owner PENINSULA PROPERTIES LLC Create Date 09/11/2012
Contractor MARK WEBER HEATING&COOLING IN' Category 502-Residential-Both
Plan
Inspector John Zarate
Fuel ✓ Gas I J ] Oil _ I J Electric J Solar 7 0 Solid 1
Q Replace I f Other _
System n New J �
�adiant U Steam - ✓j NC �ent
✓� Forced Air J
Electric I :riot Water _j Li SuppL L Con. Burner 1
Chimney Type 0 Chimney A 0 Chimney B — • Direct Vent 0 Not Applicable I
Heat Loss Q As Approved 0 Existing • Not Applicable I Value
BTU Rate 0 As Per Plan
Variable • Other I Value
Use/Nature SFR/REPLACE FURNACE AND A/C, EIV SIGNED BY SECKAR ELECTRIC **debit acct
of Work
Plan Approval Fees: Valuation $4,400.00 PP $0.00 Permit Fee Paid $76.00_
C Y Date 09/11/2012
Issued By: �/Y"!1
El Permit Voided 1 Parcel Id#1210140000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party,if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity.
Date
Signature
Agent/Owner
Address 1075 ISLAND ESTATE CT OSHKOSH WI 54901 -1341 Telephone Number 235-1523
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final, etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
09/11/2012 10:22 FAX 0001
City of Oshkosh
Division or Inspection Services
P.O. Box 1130
Oshkosh, WI 54903•.1130
Phone(920)236-5050
Fax (920)236-50K4 OJHKJH--I
ON THE v!A IR
HVAC PERMIT APPLICATION
All information after bold categories must be provided. •
Incomplete applications will not he processed.
• Application(s)and fee(s) can be brought to City Hall,Room 205 on•mailed to Inspections Services,PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or$100.00 plus th
normal permit fee, which ever is greater.
OR
if pox( r r� a n_ca t ael ei17S g irr 117e Pc?,• rrll ee 4cvnalt Systen1 ornd have ad 19tc fitridr,. a/ h her.
Ili!0Y waa l,.this pl2.c�s+tt�Jh11LU (I LJl_tt_g.c_eunt .,
'4 Advisory-For applicable projccts, as Electrical Installation Verification(LIV)form, signed by the Electric
Contractor or Homeowner(for installations icatio>< s submitted without an»I'V when sucl�is required, wil not submitted
with the permit application. App
processed for Permit Issuance and will be returned for completion. .
•
JOB ADDRESS II/.Sik0i. G0"•) s 1 (k) — ...._..
OWNED.._ :PEAK)r_SC.t LA- G" e i - 1 L-C7 .- -_._
CONTRACTOR_f'01B2 tie<i 7e Cif�' 2%'-.h6= - -
CHECK lil ALL APPLICABLE
USE CATEGORY
dingle Family CIDuplex ❑Multi-Family 0 Rental 0Commercit1l °Industrial
4, SYSTEM °New $place
FUEL �gtas ❑Electric CJSUIid 00ther,_...,._--_,• ---�--
DOiI ❑So1ar
T 'E
❑Con.Burner
�• ed Air 0Radiaut OSteam e 1
. R � � :: &MANUFACTURER______CHIMNEY BEING LINED `7U DYes -LINI1R SIZE_-.__^___—.
Note: All chimneys shall be si7..e ■-per the 13.ar a befog vatted.
CHIMNEY TYPE f•-94h i ttma A °Chimney B Aihaircct Vent Miller
HEAT pNot Applicable LOSS DAs Approved ❑Other Value_-.�._�:.__ -- °---
BTU RATE • DAs Per Plan :Wadable. r.}?1 J
pr,S TION/SCOPE OF ALL WORIC BEING DONI. t .- l{s. T__ ________
FUlliti*OD rl_c_ . _ . - __(,-.11%-_r_21_Ls--&- J 0"--)-e—,---VALUE (Including labor and materials) ;1._ �"-
,.....n ir,.,• nrnictts not requiring an EIV Porno)^��,I�c s`.-c 4"—.._._..___ �. .-�.------
Received Time 'Sep. 11. (2'01 1-10; 15AV No. 0783
09/11/2012 10: 22 FAX U002
City of Oshkosh
Division orinapeoelou Svrviws
%15 avo eh AvornA
PO lox 1190
Ken: Oshkosh WI 34903.1130
•7�w Ken: Vaier 7d 36-01030
Electric Installation Verification
1 (We) • , Ecq eterC ? (L co lr (1\i
(Electrical Contractor Name or Homeowner's Name)
t9?Z.0 COU J61i PLU/v1in- !- /NN:✓'Co(U/L�� bd/ S`(`l1
(Address) (City) (State) (Zip Code)
accept the responsibility tq perform the electric work as stated below,at the following address;
/ 'JI5 r�r5C�X)$ t id
(Address where work will be performed)
The nature of the work consists of (Check One or Describe the Nature of Work)
XC Reconnection or new circuit for replacement Heating Plant and/or A/C Condenser.
Reconnection or new circuit for replacement Electric Water Heater or power vented
water heater.
Reconnection of the Service Entrance Cable,Meter Box,alterations to receptacles
and lighting fixtures duo to siding/soffit installation. Note: New Service
Entrance Cables will require a separate permit.
Reconnection or new circuit for the replacement of other permanently wired
appliances/fixtures.
New circuit for the addition of A/C to an individual dwelling unit, including
required service electrical outlets. Note: Homeowners can only do their own
electric:on a single family owner occupied home. Work on a condominium,
duplex, rental, or multi-use building would require a licensed Electrical
Contractor.
Other
The value of this work is$ c �b '
I hereby verify this work will be performed in compliance with the License requirements of
Section 11-22 of the Oshkosh Municipal code and farther verify the reconnection/installation
will be done in compliance with manufacturer and Electric code requirements.
(Sig,nature of C mpany O11icer or Homeowner) (Print Narno) (Dote)
071(17
Received Time Sep. 11. 2012 10: 15AV No. 0783